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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Inflammation In The Left Testicle?

i was weight lifting this morning, about an hour later, when I was done I sat down and my left testicle was very sore to the touch. I examined it and seen that a vein was swollen and bright purple. All day I was sore. I have ice on now and feels better. Do you think I ruptured them?
Mon, 5 Jun 2017
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

No, there is not anything that likely ruptures testicles but torsion or contusion may be present. However, these symptoms are suggestive of epididymitis which is inflammation of part of testicle and this not uncommon to happen spontaneously without obvious cause.

This is usually treated with 10 days of antibiotics usually by ciprofloxacin and there are no permanent consequences.

Masturbation and intercourse should be avoided till pain persists, If possible. Since I may prolong inflammation course.

Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein
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What Causes Swelling And Inflammation In The Left Testicle?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No, there is not anything that likely ruptures testicles but torsion or contusion may be present. However, these symptoms are suggestive of epididymitis which is inflammation of part of testicle and this not uncommon to happen spontaneously without obvious cause. This is usually treated with 10 days of antibiotics usually by ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persists, If possible. Since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein